WEEK 4: EVIDENCE INTO PRACTICE:GUIDELINES AND PROTOCOL

Question 1

What is evidence based medicine?

Answer 1

It is the integration of best research evidence, clinical expertise and the patient’s values

Question 2

Outline the 6 steps in the process of evidence based learning

Answer 2

1. Coming up with a medical question
2. Search the medical literature; PEER REVIEW JORNALS, RESEARCH BOOKS
   3.Find the best studies that try to answer your questions
3. Perform a critical appraisal on each study to check validility
   5.Determine how the results will help you to treat the patients
   6.Evaluate the results in your patient/ population

Question 3

Describe the guideline to craft a clinical question

Answer 3

PICO

PATIENT; look and the patient and the type of population you want to apply the information on
INTERVENTION: The therapy or diagnostic test which you are interested in applying it to your patients
COMPARISON: What is the diagonistic test, intervention that are comparing your planned intervention with
OUTCOME: The end point that is of interest to your patient

Question 4

Name the type of medical literature to search on

Answer 4

*Animal or plants based
*Editorials or commentaries
*Clinical research studies
*Meta-analysis or systematic reviews

Question 5

Where to find articles of interest?

Answer 5

*DATABASES: MEDLINE, PUBMED, Cochrane library

Question 6

State the advantages of evidence based learning

Answer 6

*Clinical update knowledge routinely
*improved understanding of research methods
*Physicians become more critical in use care
*Increased confidence in management off decisions
*Increased computer literacy and data research technology
*Better reading habits
*Integrates medical education, research and clinical expertise

Question 7

State the disadvantages of evidence based learning

Answer 7

time consuming
information overload
time to learn and practice
Time may be needed for team to be conferencing, planning and review

Question 8

State the barriers to implementation of EBM

Answer 8

PROFESSIONALS
*Lack of ability to use computer
*Lack of time to read literature
*Negative attitudes

ORGANISATIONAL
*Lack of internet access at work
*Lack of resources
*Work overload
*Lack of access to a library with rich nursing journals

Question 9

State strategies that can lead to a successful implementation of EBM

Answer 9

Building capacity and ensuring sustainability for succeSsful infusion of EBM